FORM 1023-EZ for LANE COUNTY SHERIFFS WATER SEARCH AND RESCUE UNIT

Field Data
EIN 30-0864952
Case Number EO-2016036-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANE COUNTY SHERIFFS WATER SEARCH AND RESCUE UNIT
Organization’s Mailing Address 125 E 8TH AVENUE
City EUGENE
State OR
ZIP 97401
Accounting period End 6
Primary contact name MATTHEW CONRAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW CONRAD
PRESIDENT
1714 BEST LN
EUGENE OR 97401

Officer/Director/Trustee Two

THOMAS RIDDER
SECRETARY
2011 KIMBERLY DR
EUGENE OR 97405

Officer/Director/Trustee Three

VINCENT FURNARI
VICE PRESIDENT
25273 E HUNTER RD
VENETA OR 97487

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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